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Cabrol Procedure in Complex Aortic Root Reconstruction: A Case Series of Three Young Patients With Acute Aortic

Yousef Torfi Alaivi1, Seyed Mohammad Hassan Adel1, Amanollah Heidari1

  • 1Atherosclerosis Research Center Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.

Clinical Case Reports
|May 7, 2025
PubMed

Insights

The Cabrol procedure offers a successful rescue option for acute thoracic aortic dissection (TAD) with complex aortic root anatomy. This surgical technique demonstrated no complications in a 2-year follow-up, highlighting its clinical value.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Aortic Disease
  • Aortic Root Reconstruction

Background:

  • Acute aortic dissection is a life-threatening condition requiring prompt surgical intervention.
  • Optimal aortic root reconstruction methods for Type A acute aortic dissection remain debated.
  • Complex aortic root anatomy presents significant surgical challenges.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Cabrol procedure in managing acute thoracic aortic dissection (TAD) with complicated aortic root anatomy.
  • To present a series of successful cases managed with the Cabrol procedure.

Main Methods:

  • Case series describing three patients with acute thoracic aortic dissection and complex aortic root anatomy.
  • Surgical management involved the Cabrol procedure, involving end-to-end anastomosis of coronary ostia to a second graft, then side-to-side connection to the ascending aorta.
  • Follow-up included clinical assessment, transthoracic echocardiography (TTE), and computed tomography angiography (CTA).

Main Results:

  • Successful management of three critical cases of acute thoracic aortic dissection with complicated aortic root anatomy using the Cabrol procedure.
  • Two-year follow-up revealed no new or recurring signs/symptoms in patients.
  • Follow-up TTE and CTA showed no evidence of obstruction or complications related to the Cabrol procedure or aortocoronary anastomosis.

Conclusions:

  • The Cabrol procedure is a clinically valuable rescue option for acute thoracic aortic dissection, particularly in cases with challenging aortic root anatomy.
  • The modified Bentall procedure is the current standard of care, but the Cabrol procedure provides an effective alternative when anatomical difficulties arise.
  • Long-term follow-up supports the safety and efficacy of the Cabrol procedure in selected patients.

Keywords:
acute dissection aortacardiac surgerycase seriesinterventional cardiology

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